How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $165.96 Typical High $177.83 | Professional | None | $114.82 | $165.96 | $177.83 |
BCBS Kansas Setting Facility Modifier None Typical Low $154.88 Median $158.49 Typical High $162.18 | Facility | None | $154.88 | $158.49 | $162.18 |
BCBS Kansas Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $141.25 | Professional | None | $102.33 | $102.33 | $141.25 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $173.78 Typical High $977.24 | Facility | None | $112.20 | $173.78 | $977.24 |
Medica Setting Professional Modifier None Typical Low $72.44 Median $112.20 Typical High $1,047.13 | Professional | None | $72.44 | $112.20 | $1,047.13 |
United Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $257.04 | Facility | None | $218.78 | $218.78 | $257.04 |
United Setting Professional Modifier None Typical Low $69.18 Median $104.71 Typical High $138.04 | Professional | None | $69.18 | $104.71 | $138.04 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $83.18 Typical High $89.13 | Professional | 52 · Reduced service | $57.54 | $83.18 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $33.11 Typical High $36.31 | Professional | 53 · Discontinued | $22.91 | $33.11 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $24.55 Typical High $26.92 | Professional | 55 · Aftercare only | $17.38 | $24.55 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $16.60 Typical High $17.78 | Professional | 56 · Pre-op care only | $11.48 | $16.60 | $17.78 |
Where Kansas sits
The same service costs 2.0 times more in Wyoming than in New Jersey. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Kansas· 15th of 51
$162
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.